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Bilateral Staged Total Hip Replacement and the Natural Progress of an Untreated Case of Developmental Dysplasia (Dislocation) of the Hip: A Clinical Case Report by the Surgeon and the Patient.

Honarpisheh H, Ghazavi MT - Iran J Med Sci (2015)

Bottom Line: The natural history of an untreated case of a Developmental Dysplasia (Dislocation) of the Hip (DDH) associated with multiple congenital abnormalities is reported in a 55-years-old man.In addition, to relieve the pain, the walking disabilities were overcome, hence gaining normal walking in swing and stances.The leg length discrepancy was corrected by anatomically positioned prostheses, examined by the knee bending test and characterized and evidenced by radiological features and indices.

View Article: PubMed Central - PubMed

Affiliation: Iranian Medical Science Councils Secretariat, Deputy of Education, Ministry of Health and Medical Education, Tehran, Iran;

ABSTRACT
The natural history of an untreated case of a Developmental Dysplasia (Dislocation) of the Hip (DDH) associated with multiple congenital abnormalities is reported in a 55-years-old man. The patient's complaints and the varieties of the typical manifestations emerged in other parts of the body throughout the life are reviewed and discussed as comorbidities of a dysplastic condition. Two-stage bilateral total hip replacement (THR) operations were performed at the age of 55. In addition, to relieve the pain, the walking disabilities were overcome, hence gaining normal walking in swing and stances. The leg length discrepancy was corrected by anatomically positioned prostheses, examined by the knee bending test and characterized and evidenced by radiological features and indices.

No MeSH data available.


Related in: MedlinePlus

THR post-op bilateral pelvic radiographs; the left figure a) illustrates the lateral inclination of acetabular components and the right figure, b) illustrates the vertical assessment of femoral components.
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Figure 4: THR post-op bilateral pelvic radiographs; the left figure a) illustrates the lateral inclination of acetabular components and the right figure, b) illustrates the vertical assessment of femoral components.

Mentions: The patient got ambulated walking with crutches the day after the surgery and was able to walk without crutches six weeks after the second operation. During the first six week post-op, conventional physical therapy was instructed. No leg length discrepancy was noticed seven days after the second THR operation and remained as such thereafter (table 1). This is demonstrated by the symmetrically located stem part of the prostheses in relation to the pubic ramus verified by equally broken Shentons’ lines shown in the post-op pelvic radiograph (figure 4).


Bilateral Staged Total Hip Replacement and the Natural Progress of an Untreated Case of Developmental Dysplasia (Dislocation) of the Hip: A Clinical Case Report by the Surgeon and the Patient.

Honarpisheh H, Ghazavi MT - Iran J Med Sci (2015)

THR post-op bilateral pelvic radiographs; the left figure a) illustrates the lateral inclination of acetabular components and the right figure, b) illustrates the vertical assessment of femoral components.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4487466&req=5

Figure 4: THR post-op bilateral pelvic radiographs; the left figure a) illustrates the lateral inclination of acetabular components and the right figure, b) illustrates the vertical assessment of femoral components.
Mentions: The patient got ambulated walking with crutches the day after the surgery and was able to walk without crutches six weeks after the second operation. During the first six week post-op, conventional physical therapy was instructed. No leg length discrepancy was noticed seven days after the second THR operation and remained as such thereafter (table 1). This is demonstrated by the symmetrically located stem part of the prostheses in relation to the pubic ramus verified by equally broken Shentons’ lines shown in the post-op pelvic radiograph (figure 4).

Bottom Line: The natural history of an untreated case of a Developmental Dysplasia (Dislocation) of the Hip (DDH) associated with multiple congenital abnormalities is reported in a 55-years-old man.In addition, to relieve the pain, the walking disabilities were overcome, hence gaining normal walking in swing and stances.The leg length discrepancy was corrected by anatomically positioned prostheses, examined by the knee bending test and characterized and evidenced by radiological features and indices.

View Article: PubMed Central - PubMed

Affiliation: Iranian Medical Science Councils Secretariat, Deputy of Education, Ministry of Health and Medical Education, Tehran, Iran;

ABSTRACT
The natural history of an untreated case of a Developmental Dysplasia (Dislocation) of the Hip (DDH) associated with multiple congenital abnormalities is reported in a 55-years-old man. The patient's complaints and the varieties of the typical manifestations emerged in other parts of the body throughout the life are reviewed and discussed as comorbidities of a dysplastic condition. Two-stage bilateral total hip replacement (THR) operations were performed at the age of 55. In addition, to relieve the pain, the walking disabilities were overcome, hence gaining normal walking in swing and stances. The leg length discrepancy was corrected by anatomically positioned prostheses, examined by the knee bending test and characterized and evidenced by radiological features and indices.

No MeSH data available.


Related in: MedlinePlus